Organization
THE CLARE AT WATER TOWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY AMIANO (PRESIDENT & CEO)
(708) 647-6500
Entity
Organization
Contact information
Practice address
55 E PEARSON ST, CHICAGO, IL 60611-2535
(312) 784-8000
(312) 951-5893
Mailing address
55 E PEARSON ST, CHICAGO, IL 60611-2535
(312) 784-8000
(312) 951-5893
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0046789
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046789
STATE LICENSE
IL
Enumeration date
08/14/2009
Last updated
08/26/2011
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